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These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance
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Vitamin B12 (cobalamin) plays a key role in: Making healthy red blood cells (helping prevent certain types of anaemia) Supporting nerve function Helping normal energy metabolism Supporting cognitive function and mood (when deficiency is present) Because the body doesnt produce B12, we rely on dietary sources (primarily animal products and fortified foods) and on absorption through the gut
However, its important to remember that B12 injections arent a magic solutionthey work best when combined with a balanced diet and regular exercise
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